Individual
ELLEN DECOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
136 BOSTON POST RD, SUDBURY, MA 01776-2406
(978) 443-2722
Mailing address
16 FOREST LAKE RD, CUMBERLAND, ME 04021-3041
(207) 210-4569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10125
MA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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